PDF(Pubmed)
Abstract：
UNASSIGNED: This study explored the correlative factors of falls among the older adult with cognitive impairment, to provide distinct evidence for preventing falls in the older adult with cognitive impairment compared with the general older adult population.
UNASSIGNED: This study was based on a cross-sectional survey, with an older adult population of 124,124 was included. The data was sourced from the Elderly Care Unified Needs Assessment for Long-Term Care Insurance in Shanghai. Binary and multivariable logistic regression analyses were conducted sequentially on the correlative factors of falls. Multivariable logistic regression was performed on variables that were significant, stratified by cognitive function levels.
UNASSIGNED: The incidence of fall in the past 90 days was 17.67% in this study. Specific variables such as gender (male), advanced age (≥80), residence with a elevator (or lift), mild or moderate disability, quality of sleep (acceptable/poor) were negatively correlated with falls, while higher education level, living alone, residence with indoor steps, unclean and untidy living environment, MCI or dementia, chronic diseases, restricted joints, impaired vision, and the use of diaper were positively correlative factors of falls. Comparing with older adult with normal cognitive functions, older adult with dementia faced a higher risk of falling due to accessibility barrier in the residence. For general older adults, less frequency of going outside and poor social interactions were positively correlated with falls, while for older adult with cognitive impairments, going outside moderately (sometimes) was found positively correlated with falls. Older adults with cognitive impairments have increased fall risks associated with chronic diseases, restricted joints, and the use of diaper. The risk of falling escalated with the greater number of chronic diseases.
UNASSIGNED: For older adult with cognitive impairments, it is advisable to live with others. Additionally, creating an accessible living environment and maintaining the cleanness and tidiness can effectively reduce the risk of falls, particularly for those with MCI or dementia. Optimal outdoor activity plans should be developed separately based on the cognitive function of older adults. Older adult with dementia who have comorbidities should be paid special attention in fall prevention compared to the general older adult population.
UNASSIGNED: This study was based on a cross-sectional survey, with an older adult population of 124,124 was included. The data was sourced from the Elderly Care Unified Needs Assessment for Long-Term Care Insurance in Shanghai. Binary and multivariable logistic regression analyses were conducted sequentially on the correlative factors of falls. Multivariable logistic regression was performed on variables that were significant, stratified by cognitive function levels.
UNASSIGNED: The incidence of fall in the past 90 days was 17.67% in this study. Specific variables such as gender (male), advanced age (≥80), residence with a elevator (or lift), mild or moderate disability, quality of sleep (acceptable/poor) were negatively correlated with falls, while higher education level, living alone, residence with indoor steps, unclean and untidy living environment, MCI or dementia, chronic diseases, restricted joints, impaired vision, and the use of diaper were positively correlative factors of falls. Comparing with older adult with normal cognitive functions, older adult with dementia faced a higher risk of falling due to accessibility barrier in the residence. For general older adults, less frequency of going outside and poor social interactions were positively correlated with falls, while for older adult with cognitive impairments, going outside moderately (sometimes) was found positively correlated with falls. Older adults with cognitive impairments have increased fall risks associated with chronic diseases, restricted joints, and the use of diaper. The risk of falling escalated with the greater number of chronic diseases.
UNASSIGNED: For older adult with cognitive impairments, it is advisable to live with others. Additionally, creating an accessible living environment and maintaining the cleanness and tidiness can effectively reduce the risk of falls, particularly for those with MCI or dementia. Optimal outdoor activity plans should be developed separately based on the cognitive function of older adults. Older adult with dementia who have comorbidities should be paid special attention in fall prevention compared to the general older adult population.
摘要：
■本研究探讨了老年认知障碍患者跌倒的相关因素，与一般老年人群相比，提供不同的证据来预防有认知障碍的老年人跌倒。
■这项研究基于横断面调查，包括124,124名老年人口。数据来源于上海市长期护理保险老年护理统一需求评估。对跌倒的相关因素依次进行二元和多变量logistic回归分析。对有意义的变量进行多变量逻辑回归，按认知功能水平分层。
■在本研究中，过去90天内跌倒的发生率为17.67％。具体变量，如性别（男性），高龄(≥80岁)，带电梯（或电梯）的住宅，轻度或中度残疾，睡眠质量（可接受/较差）与跌倒呈负相关，虽然教育水平较高，独自生活,住宅与室内步骤，不整洁的生活环境，MCI或痴呆症，慢性疾病,限制接头,视力受损,尿布的使用是跌倒的正相关因素。与认知功能正常的老年人相比，由于住宅中的无障碍障碍，老年痴呆症患者面临更高的跌倒风险。对于一般老年人来说，外出频率较低和社会交往不良与跌倒呈正相关，而对于有认知障碍的老年人，适度(有时)外出与跌倒呈正相关。患有认知障碍的老年人与慢性病相关的跌倒风险增加，限制接头,和尿布的使用。随着慢性疾病的增加，下降的风险也在上升。
■对于有认知障碍的老年人，和别人一起生活是明智的。此外,创造无障碍的生活环境，保持整洁，可以有效降低跌倒的风险，特别是对于患有MCI或痴呆症的人。最佳户外活动计划应根据老年人的认知功能单独制定。与一般的老年人群相比，有合并症的老年痴呆症患者在预防跌倒时应特别注意。
■这项研究基于横断面调查，包括124,124名老年人口。数据来源于上海市长期护理保险老年护理统一需求评估。对跌倒的相关因素依次进行二元和多变量logistic回归分析。对有意义的变量进行多变量逻辑回归，按认知功能水平分层。
■在本研究中，过去90天内跌倒的发生率为17.67％。具体变量，如性别（男性），高龄(≥80岁)，带电梯（或电梯）的住宅，轻度或中度残疾，睡眠质量（可接受/较差）与跌倒呈负相关，虽然教育水平较高，独自生活,住宅与室内步骤，不整洁的生活环境，MCI或痴呆症，慢性疾病,限制接头,视力受损,尿布的使用是跌倒的正相关因素。与认知功能正常的老年人相比，由于住宅中的无障碍障碍，老年痴呆症患者面临更高的跌倒风险。对于一般老年人来说，外出频率较低和社会交往不良与跌倒呈正相关，而对于有认知障碍的老年人，适度(有时)外出与跌倒呈正相关。患有认知障碍的老年人与慢性病相关的跌倒风险增加，限制接头,和尿布的使用。随着慢性疾病的增加，下降的风险也在上升。
■对于有认知障碍的老年人，和别人一起生活是明智的。此外,创造无障碍的生活环境，保持整洁，可以有效降低跌倒的风险，特别是对于患有MCI或痴呆症的人。最佳户外活动计划应根据老年人的认知功能单独制定。与一般的老年人群相比，有合并症的老年痴呆症患者在预防跌倒时应特别注意。
